Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Space City Smiles

Organization Dental Clinic/Center · NPI 1750879912

Space City Smiles is a Dental Clinic/Center in Houston, Texas. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2415 Blalock Rd Ste A
Houston, TX 77080
Phone: (832) 380-5149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1750879912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnathan Phan — Manager · (713) 363-1338
NPI enumeratedApril 24, 2018
Last updated in NPPESApril 24, 2018
Mailing address2415 Blalock Rd., Suite A, Houston, TX 77080

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